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A Novel Digital Platform for a Monitored Home-based Cardiac Rehabilitation Program

A Novel Digital Platform for a Monitored Home-based Cardiac Rehabilitation Program

Published on: April 19, 2019

Digital innovations and emerging technologies for enhanced recovery programmes.

F Michard¹, T J Gan², H Kehlet³

¹MiCo, Chemin de Chapallaz 4, Denens, Switzerland.

British Journal of Anaesthesia

|June 13, 2017

Summary

Enhanced recovery programmes (ERPs) improve surgical recovery, but compliance is low. Emerging digital technologies and wearable sensors show promise for improving patient adherence and outcomes in ERPs.

Keywords:

digital innovation enhanced recovery programme wearable sensor

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Area of Science:

Surgical recovery optimization
Digital health innovations
Perioperative care enhancement

Background:

Enhanced recovery programmes (ERPs) are crucial for improving post-surgical recovery.
Sub-optimal compliance with ERP components hinders their effectiveness.
Emerging technologies offer potential solutions to improve patient and caregiver adherence.

Purpose of the Study:

To explore the role of emerging technologies in enhancing compliance with Enhanced Recovery Programmes (ERPs).
To identify digital innovations, non-invasive techniques, and wearable sensors that can optimize surgical recovery.
To assess the potential of technology to magnify the clinical and economic benefits of ERPs.

Main Methods:

Review of emerging technologies including SMS/Apps for preoperative optimization (smoking cessation, physical activity, chronic disease management).
Discussion of non-invasive hemodynamic monitoring and decision support tools for fluid management.
Exploration of objective nociceptive assessment, wearable sensors for cardio-respiratory monitoring, activity trackers for mobilization, and electronic checklists.

Main Results:

Digital tools (SMS, Apps) can optimize preoperative physical condition and manage chronic conditions.
Non-invasive monitoring and decision support individualize perioperative fluid management.
Wearable sensors and activity trackers aid in early detection of deterioration, 'failure to rescue', and early mobilization.
Electronic checklists ensure comprehensive ERP component delivery.

Conclusions:

Digital innovations, non-invasive techniques, and wearable sensors can significantly improve compliance with ERPs.
These technologies have the potential to enhance both the clinical and economic benefits of ERPs.
Further research is needed to validate the clinical utility and cost-effectiveness of specific technological solutions.